Key Information and Practice Requirements

Pre-requisites for joining the Keeping Well and Independent Program (KWIP):

• Sign up to LUMOS and Primary Sense extraction tools.
• Participate in quarterly support meetings with an SNHN representative to review progress with patient enrolments, KWIP activities and other areas of the program.
• Attendance at a Training Day on Saturday 5th of August 2023 by at least 1 member of the Practice participating in the Program. To register please use this link: https://sydneynorthhealthnetwork.org.au/education-event/face-to-face-keeping-well-and-independent-program-education/

Key Enhancements to the Program:

• Patient enrolment and eligibility for patient enrolment has been expanded to include Primary Sense and other screening tools.
• Payments will be made to the Practice (for further details please refer to the Program’s Memorandum of Understanding (MoU)).
• Introduction of a KWIP Care Coordinator (Registered Nurse) resource to assist with workload and patient coordination.
• Practices to enroll a certain number of patients for 12 months (# varies on GP/Practice).

The role of a KWIP Care Coordinator:

• supports in-house administrative, health and care coordination components specific to the Program.
• is tasked to support managing patients enrolled in the Program.

The KWIP Care Coordinator will either be:

• an existing Nurse explicitly funded by the Program Sponsors to complete administrative, health and care coordination aspects for enrolled patients; or
• an external person, such as a Registered Nurse, allocated to your Practice as your KWIP Care Coordinator. They will carry out the program work in collaboration and work with your Practice.

For a complete description of the role of this coordinator please see the KWIP Care Coordinator Position Description document.

Quarterly Support Meetings:

• are held with a PHN representative, assisting your Practice in keeping track of patients’ 12-month program progress.
• the Practice staff involved in managing program patients will be able to troubleshoot administrative issues, care coordination-related questions or any other aspects of the Program that may require additional support.
• GPs enrolled in KWIP are expected to participate in these meetings alongside other practice team members supporting the Program. The KWIP Care Coordinator will also attend this meeting.

Remuneration:

• the Program’s Memorandum of Understanding (MoU) outlines the renumeration associated with this Program. Please refer to the Memorandum of Understanding (MoU) for guidance or refer to the PHN representative.